Rental Form for Limousine Rental in Garland, TX

I (Print Name exactly as is on card):________________________________________,

do herby authorize Romantic Remembrances to charge my

(Visa, MC or AE) ________________________________

Credit card account # ___________________________________________ which expires on (Mo/Year) _______/_______ for any and all charges incurred for transportation services ordered by (Name) ______________________________ and provided for (Name) ____________________________________________.

I am fully aware that these charges will be billed to my credit card and understand that my signature below will serve the same as if I had actually signed the credit card voucher. I am also fully aware RR terms and cancellation policy and that my credit card will be charged the total cost of services ordered if not cancelled within 30 days of the service time requested (signature):